NPI | 1487016127 |
---|---|
Former Name | REBECCA LYNNE MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5689) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-03-22 |
Last Update Date | 2021-07-26 |